Dequincy Medical Clinic | |
601 W 4th St Dequincy LA 70633-3301 | |
(337) 786-6161 | |
(337) 786-7999 |
Full Name | Dequincy Medical Clinic |
---|---|
Speciality | Internal Medicine |
Location | 601 W 4th St, Dequincy, Louisiana |
Authorized Official Name and Position | Jalal Joudeh (OWNER) |
Authorized Official Contact | 3377866161 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Dequincy Medical Clinic Po Box 866 Dequincy LA 70633-0866 Ph: (337) 786-6161 | Dequincy Medical Clinic 601 W 4th St Dequincy LA 70633-3301 Ph: (337) 786-6161 |
NPI Number | 1548328115 |
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Provider Enumeration Date | 12/05/2006 |
Last Update Date | 06/27/2008 |
Medicare PECOS PAC ID | 2466404744 |
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Medicare Enrollment ID | O20050215000437 |
Identifier | Type | State | Issuer |
---|---|---|---|
1548328115 | NPI | - | NPPES |
1445347 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 1445347 (Louisiana) | Primary |
Provider Name | Jalal Joudeh |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1861425324 PECOS PAC ID: 9931146230 Enrollment ID: I20110606000727 |
Chadha Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 140 W 4th St, Dequincy, LA 70633 Phone: 337-786-5007 Fax: 337-786-5009 | |
Allegiance Medical Clinic Of Dequincy Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 601 W 4th St, Dequincy, LA 70633 Phone: 337-786-6161 Fax: 337-786-7999 | |
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